Cervical Ectopic pregnancy is an extremely rare condition with potential grave consequences if not diagnosed and treated early enough. We present a case with clinical detail and sequential ultrasound images of early cervical ectopic pregnancy with a history of two previous cesarean sections. The cervical ectopic pregnancy was successfully diagnosed on ultrasound, treated with dilation and curettage followed by methotrexate without any complications. We discuss the differential diagnosis, imaging findings, complications and treatment options of the case. Morbidity and fertility of patient can be preserved by timely accurate diagnosis

Keywords: Cervical ectopic pregnancy, case report, Ultrasound, , Doppler, Gestational sac, Dilatation and curettage, Methotrexate